The prevalence of mental health problems in children 1½ years of age - the Copenhagen Child Cohort 2000

Autor: Susanne Landorph, S. Kaas‐Nielsen, K. Heering, Tine Houmann, Torben Jørgensen, V. Samberg, Else Marie Olsen, Anne Mette Skovgaard, Eva Christiansen, Anne Lichtenberg
Rok vydání: 2006
Předmět:
Zdroj: Journal of Child Psychology and Psychiatry. 48:62-70
ISSN: 0021-9630
DOI: 10.1111/j.1469-7610.2006.01659.x
Popis: Background: The Copenhagen Child Cohort, CCC 2000, was established to investigate developmental psychopathology prospectively from birth in a general population. Methods: A random sample of 211 children from the CCC 2000 was investigated when the children were 1½ years of age. The prevalence and associates of mental health problems and psychopathology were studied by clinical and standardised strategies, including videotape recordings, parent interviews and the following instruments: The Child Behavior Check List 1½–5 (CBCL 1½–5), The Infant Toddler Symptom Check List (ITSCL), Checklist for Autism in Toddlers (CHAT), Bayley Scales of Infant Development II (BSID II), The Parent Child Early Relationship Assessment (PC ERA) and Parent Infant Relationship Global Assessment Scale (PIR-GAS). Results: Mental health problems according to International Classification of Diseases (ICD10) and Diagnostic Classification Zero to Three (DC 0–3) diagnoses were found in 16–18% of 1½-yearold children. Most common were disturbances of emotion, behaviour and eating and the DC 0–3 diagnosis of regulatory disorder. Parent–child relationship disturbances were found in 8%. High psychosocial risk was significantly associated with emotional and behavioural disorders (OR 3.1 95% (1.2– 8.1)) and disturbed parent–child relationship (OR 5.0 95% (1.6–16.0)). The strongest association of risk was found between relationship disorders and emotional and behavioural disorders (OR 11.6 95% (3.8– 37.5)). Conclusions: The prevalence and distribution of psychopathology in 1½-year-old children seem to correspond to the distributions among older children. Disturbances in parent–child relationship have a key position in the risk mechanisms in early child psychopathology. Keywords: Prevalence, infant–toddler, psychopathology, birth cohort, risks, infancy, comorbidity. Abbreviations: BSID II: The Bayley Scales of Infant Development; CBCL 1½–5: Child Behavior Check List 1½–5; CHAT: Checklist for Autism in Toddlers; CCC 2000: Copenhagen Child Cohort 2000; DC 0–3: Diagnostic Classification Zero to Three; ICD-10: International Classification of Diseases; ITSCL: The Infant Toddler Symptom Check List; MEI: Mannheim Eltern Interview; PC ERA: The Parent Child Early Relationship Assessment; PIR-GAS: Parent Infant Relationship Global Assessment Scale.
Databáze: OpenAIRE